US Foods scored an 80 out of 100 on the 2023-2024 Corporate Equality Index (CEI) from the Human Rights Campaign (HRC), a political stakeholder group. By complying with Human Rights Campaign’s controversial demands, US Foods increases the risk of dividing employees, alienating customers and harming shareholders. The company covers transgender-related medical costs for its employees and their children. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, marketing, and philanthropic support. US Foods also provides "Disrupting Bias" training for its employees. The company’s former CEO, Pierre Satriano, signed the CEO Action for Diversity & Inclusion pledge, which includes a commitment to promote DEI through bias education training in the workplace. US Foods is a corporate partner of the National LGBT Chamber of Commerce. However, the company does not appear to discriminate against charitable organizations based on views or beliefs. For these reasons, US Foods receives a Medium Risk rating.